MEDICARE: DR. VINOD NIGAM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085N0904X	Nuclear Radiology Physician	206349	NY
2	2085R0202X	Diagnostic Radiology Physician	206349	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	300137047	OTHER	NY	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00040941407	OTHER	NY	UNIVERA/EXCELLUS #
2	5609957	OTHER	NY	INDEPENDENT HEALTH #
3	CR-DRA206349-3W	OTHER	NY	WORKERS COMPENSATION #
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	000525006020	OTHER	NY	BLUE CROSS WNY #
7	150590FF	OTHER	NY	PREFERRED CARE-ROCHESTER
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376542753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VINOD NIGAM MD

Provider Business Mailing Address
First Line	:	601 ELMWOOD AVE
Second Line	:	PO BOX 648
City	:	ROCHESTER
State	:	NY
Zip	:	14642-8648
Country	:	US
Telephone Number	:	585-275-2734
Fax Number	:	585-273-1033

Provider Business Practice Location Address
First Line	:	1150 YOUNGS RD
Second Line	:	SUITE 111
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-8053
Country	:	US
Telephone Number	:	716-688-7622
Fax Number	:	716-688-7592

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	08/21/2009

Similar Medicare Providers

1164421442 — CAROL ANN JACKSON-GIBSON MD
Practice Location Address:

1150 YOUNGS RD , SUITE 111
WILLIAMSVILLE, NY
14221-8053

Practice Phone: 716-688-7622
Practice Fax: 716-688-7592

1912906256 — DR. ASHOK NIGAM M.D.
Practice Location Address:

1150 YOUNGS RD , SUITE 111
WILLIAMSVILLE, NY
14221-8053

Practice Phone: 716-688-7622
Practice Fax: 716-688-7592

1295723278 — DR. PAUL A WEISS DDS
Practice Location Address:

1150 YOUNGS RD , SUITE 106
WILLIAMSVILLE, NY
14221-8053

Practice Phone: 716-689-0929
Practice Fax:

1285617431 — EVAN EVANS MD
Practice Location Address:

1150 YOUNGS RD
WILLIAMSVILLE, NY
14221-8053

Practice Phone: 716-636-9004
Practice Fax: 716-636-0132

1386615300 — RICHARD STINZIANO PT
Practice Location Address:

1150 YOUNGS RD
WILLIAMSVILLE, NY
14221-8053

Practice Phone: 716-689-1901
Practice Fax: 716-689-2238

1821059163 — MRS. SHARON ROSE TASNER FNP
Practice Location Address:

1150 YOUNGS RD , SUITE #104
WILLIAMSVILLE, NY
14221-8053

Practice Phone: 716-636-7979
Practice Fax: 716-636-7993

Directions to “ DR. VINOD NIGAM MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.